1981, 03-03 Permit: 81A-2013 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3,COPIES
JOB ADDRESS
\/.�
1.
LOT Ig�OCK- SUBDIVISION
2. 3 1 (4cAt..c'Tt'S '111/4i to hi
OWNER
\3oLL . Cc s-raucrtov.7
3.
4.
ADDRESS
C • 1znz.t SATLP ue
CONTRACTOR
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
gzz--Atyin
PARCEL NUMBER/5
!Trot I S5-5 z et,
ZIP
agZt Csta
Actual Set Backs in Feet
North 'South 2551
East Lb' west
PHONE
Size of Parcel
SR REC,ut
Zone Classification
SI nX1Lb t-P»tI+-V
ADDRESS
cairn C
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
ADDRESS
PHONE
Va ation
Ztao4
Building Area in Sq. Ft.
484
ZIP
Main Floor
Upper Floors 1 Garage Area
4s4
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
I?d NEW 0 ALT. 0 AD N. 0 RPL. ❑ MVE.
BLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
1
No. Rooms
1
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd. 'Not Req'd.
"
DESCRIBE WORK
8.
ifitiVIA.C.ReTh C.N !{f.AC4 E.
VALUATION
941)2.40A-
Enum. Dist.
Location (Area)
SOURCE GAS •
OF
UTILITIES
ELECTRIC
WATER
SEWER
SQTLL
Ownership �/
Public 0 Private OC
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of I.ws and ordinances governing this
type of work will be complied with whether specified herein or not. The granti > of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local Iaating con ruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env alth
Pfa n ning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Build 1p9 Technician
.)-r
SPECIAL CONDITIONS:
CSV—sr"
%N3SaRu, -rEni -t Rto2 to A r4 n ;CS
trot t -r
MAIL
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
he
SEPA
$
#36.00
Mobile Home
Other (Specify) 58.
IfdVu3T, fef
$ Ro.OD
TOTAL
PERMIT NUMBER
g/A ao/3
02** '1,3;8'0. 0
*:3800 in
,* 3'8 066
"000
5222,E
0i1 15'-81
s 64 79
131* *3'800
*38.00 17)
*38006
'*000
A
5236
51-8,1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
u .I i
DATE ISSUED
2'01;5 '*-7'600.2 fe
PERMIT NO. • TOTAL
z_o
A7‘. ‘..)
1
•
•